Treasure Coast Physical Therapy and Fitness

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Stuart, FL
Treasure Coast Physical Therapy and Fitness

Helping others become more independent in their recovery from injury. Sign Up to receive our FREE Newsletter: https://nickparmigianopt.com/free-newsletter

Nick Parmigiano – Physical Therapist & Personal Trainer

Helping Martin County, FL residents recover from injury, move better, and reach new fitness levels safely. I provide personalized rehabilitation and training programs designed to address pain, weakness, and movement limitations — so you can train harder, move smarter, and do more. Sign up for a 30-minute Discovery Visit to discuss your main physical challenges and learn how Treasure Coast Physical Therapy and Fitness can help you correct, improve, and optimize your movement. Learn more at www.treasurecoastphysicaltherapyandfitness.com
— see why my approach to rehab and fitness goes beyond traditional physical therapy.

12/01/2025

🎯 Why Eccentric Shoulder External Rotation Training Is a Game-Changer

https://vimeo.com/1141801072?fl=tl&fe=ec

If you struggle with shoulder pain, rotator cuff weakness, or instability when reaching overhead or lifting weights — eccentric training may be the missing piece.
💡 What Is Eccentric External Rotation?
It’s the slow, controlled lowering phase of external rotation exercises.
Instead of focusing only on lifting the weight, we challenge the shoulder to control and resist the movement on the way down — which is where most injuries happen.
🧠 Benefits of Eccentric Shoulder External Rotation
🔥 Strengthens the rotator cuff — especially the infraspinatus & teres minor
🦾 Improves shoulder stability during overhead and athletic movements
🩹 Reduces pain & irritation from impingement, tendonitis, or prior tears
🏋️ Boosts performance & power for throwing, tennis, pickleball & lifting
🏃‍♂️ Enhances deceleration control — essential for preventing re-injury
📈 Speeds up tendon remodeling & healing
🏆 Who Should Do It?
✔ Overhead athletes (tennis, pickleball, baseball, swimmers, CrossFit)
✔ People recovering from rotator cuff strains or shoulder impingement
✔ Anyone with weakness, instability, or pain during overhead lifting
💪 Want to Test Your Shoulder Strength?
We offer objective rotator cuff strength testing using dynamometry to identify imbalances and create a customized plan to rebuild strength and protect your shoulder.
📲 Call or text 772-485-9447 to schedule a shoulder performance session
📍 Treasure Coast Physical Therapy — Stuart / Hobe Sound

11/28/2025

🎙️ Missed our recent community workshop? Here’s one of the most eye-opening topics we covered…

https://youtu.be/dh32BQYjo_g

Most people have no idea that they’re living with a 20–40% strength deficit on one side of their body — and that hidden imbalance is often the real reason pain returns, balance feels unsteady, or injuries continue to happen.

At Treasure Coast Physical Therapy, we use dynamometry strength testing to measure real muscle performance, identify asymmetries, and build precise strength plans based on actual data — not guesswork.

📲 Want your strength tested?

Call or text 772-485-9447 to schedule a full evaluation.

11/27/2025

Trigger Finger / Stenosing Tenosynovitis
☝️ Finger Stuck or Snapping? It Might Be Trigger Finger.

https://youtu.be/B_RMsWuTYrM

Trigger finger happens when a tendon becomes irritated and thickened, causing painful catching or locking in the finger or thumb.

Common symptoms:
• Pain in the palm at the base of the finger
• Popping or clicking sensation
• Morning stiffness
• Finger stuck in a bent position

Treatment options range from conservative care (rest, splinting, exercises) to injections and minimally invasive release procedures.

Early treatment prevents long-term stiffness and functional loss.

Need help improving hand strength or mobility?

📲 772-485-9447

11/25/2025

️⃣ Early Treatment Focus After an Above-Knee Amputation
🧠 The First Steps After an Above-Knee Amputation Matter

https://youtu.be/xZgerlew8rc

Early rehab priorities include:
• Protecting the surgical site
• Controlling swelling & shaping the limb
• Managing surgical & phantom pain
• Preventing hip contractures
• Beginning safe mobility & strengthening
• Emotional support and counseling
• Patient education & involvement
Recovery is physical and emotional — and the right guidance early on can drastically improve long-term success.
If you or someone you care about is recovering from an amputation, we’re here to help every step of the way.
📲 772-485-9447

11/24/2025

ACE Wrapping / Residual Limb Shaping for AKA
🦿 Why Proper ACE Wrapping Matters After an Above-Knee Amputation

https://youtu.be/Q5ADvVODrtM

Many amputees are handed ACE wraps but never taught how — or why — wrapping properly is so important.
Correct compression helps control swelling, shape the limb for a prosthesis, reduce phantom pain, and protect skin.
Using a figure-8 wrapping technique instead of wrapping straight around prevents circulation restriction and supports healthy tissue healing.
If you or a loved one is recovering from an amputation and needs help learning safe wrapping techniques, positioning, mobility, or prosthetic prep — we’re here to help.
📲 Call or text 772-485-9447
Treasure Coast Physical Therapy — Building strength, confidence, and independence.

11/21/2025

🎯 Motion Guidance Visual Feedback Training

https://youtu.be/UyW0RNmmoPQ

Make movement visible. Make progress measurable.
One of our favorite rehab tools is Motion Guidance, a laser-based feedback system that trains the brain and body to work together more efficiently. It’s incredible for rebuilding control after injury or surgery.
Benefits include
• Better coordination and movement accuracy
• Greater symmetry and stability
• Reduced compensation and bad habits
• Faster return to confident movement
Perfect for shoulder weakness, concussion rehab, postural work, and neuromuscular retraining.
👉 If your recovery has plateaued, this can be a breakthrough technique.
📲 772-485-9447 — call, text, or DM to learn more.
Feel better. Move better. Perform better. 🌟

11/20/2025

⚽ Knee Valgus in Athletes

https://youtu.be/-BVt6_vVrH4

What you see in the knee often starts at the hip.
During a movement screen today, we spotted knee valgus — an inward collapse of the knee that shows up frequently in athletes dealing with pain or instability. It’s a major performance and injury risk indicator.
Why it matters
• Higher risk for ACL and patellar injuries
• Reduced power for sprinting, jumping & cutting
• Compensation patterns that cause chronic pain
This isn’t just a knee issue — it’s often tied to glute, hip, or core weakness.
At Treasure Coast PT, we use strength testing and video analysis to identify the root cause and build a plan that improves performance and reduces injury risk.
👉 Compensating through pain? Let’s fix the real issue.
📲 772-485-9447 or DM to schedule an assessment.

11/19/2025

💪 Isometric Strength & C5 Palsy Recovery

https://youtu.be/17CbkJZzTvU

Strength isn’t always visible — but it’s still happening.
Today’s rehab win: despite no visible motion yet, the shoulder muscles are firing and resisting, which is exactly how strength returns after nerve injury. Isometric contraction is the foundation before movement.
Why this matters
✔ Re-activates the neuromuscular system
✔ Builds stability that protects the joint
✔ Re-trains the brain to reconnect with the muscles
✔ Prepares for future functional strength
Progress after nerve damage can feel slow — but every small activation is a major step forward.
👉 Recovering from nerve injury or post-surgical weakness?
📲 Call/text 772-485-9447 or DM to get started.
Small steps create big change. Keep going. 🌱

11/18/2025

📍 PEMF Healing Mat

https://youtu.be/4p18EHCu4Qs

⚡ Recharge the body. Reset the nervous system. Reduce pain.
If you’ve been struggling with pain that just won’t go away, PEMF therapy provides a gentle, non-invasive way to create change at the cellular level. It uses pulsed electromagnetic energy to increase circulation, reduce inflammation, and support tissue repair.
Clients use PEMF to help with:
• Chronic back & neck pain
• Arthritis flare-ups
• Nerve irritation & neuropathy
• Stress & sleep disruption
• Muscle soreness or sports recovery
Most people describe the session as incredibly calming — some even fall asleep. Many notice relief after just one treatment.
👉 Want to see if PEMF could help you feel better?
📲 Call or text 772-485-9447 or send a message to schedule.
Healing doesn’t have to be painful to be effective.

11/17/2025

📍 Celluma LED Light Therapy

https://youtu.be/g4Q53crIwRs

💡 Faster recovery without pills, injections, or downtime.
If pain, inflammation, or slow healing are holding you back, Celluma LED Light Therapy might be the solution you’ve been searching for. This light-based treatment delivers therapeutic red and infrared wavelengths that stimulate your body’s natural repair process — without any discomfort or side effects.
What our clients love about it
Eases chronic joint and muscle pain
Reduces stiffness and inflammation
Accelerates healing after injury or surgery
Supports neuropathy recovery
Improves skin quality and tissue repair
Just 20–30 minutes of gentle warmth and relaxation can leave you feeling looser, lighter, and more mobile.
👉 Curious if Celluma could help you?
📲 Call/text 772-485-9447 or DM to ask questions or book a trial session.
Your body wants to heal — we help it do that faster.

11/16/2025

How to Use Your Lift Chair the Right Way — Without Losing Strength

https://youtu.be/TUe-vY7w8-I

🪑 Lift chairs are helpful — but not when they replace your muscles!
💬 Don’t walk out of your chair — work out of it.
💪 Adjust the lift height so you can still engage your legs and core safely. Small effort = long-term independence.
🏋️‍♂️ Ready to rebuild strength and confidence? Join our Sit-to-Stand Training Program at Treasure Coast PT.
📞 Call/Text 772-485-9447 | 🌐 TreasureCoastPhysicalTherapy.com

11/15/2025

What NOT to Do When Standing Up — and How to Fix It

https://youtu.be/fensyLkY03w

🚫 Pulling on your walker? Feet too far forward? Standing too fast? These are some of the most common mistakes I see daily.
✅ Learn the right way to stand — safely, smoothly, and confidently. Small technique changes can prevent major falls.
💡 If you’re unsure about your standing technique or balance, schedule a Safety & Mobility Assessment today.
📞 772-485-9447 | 🌐 TreasureCoastPhysicalTherapy.com

Address

3216 SE Federal Highway
Stuart, FL
34997

Telephone

+17724859447

Website

https://forms.gle/rSKptLk51KpwscBi8, http://www.nickparmigianopt.com/backpain, http://www.treasurecoastphysicaltherapyan

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